- B.S. or M.B.A. in Business Administration or a related degree is required.
- Strong working knowledge of health insurance industry business operations is required. Senior executive with proven experience in growing and developing business in the healthcare information and analytics space with strong competencies in strategic planning, operations, marketing, product management, and business planning.
- Must have between 10-15 years of experience in the healthcare industry with strong presentation skills, customer (internal/external) problem diagnostics and solution design, tactical scheduling, strong contract knowledge, and HIPAA compliance related to the company’s Business Associate classification. Demonstrated ability to maintain a high level of ethics.
- Excellent communicator and leader who is results-oriented and diplomatically assertive.
- Requires ability to synthesize and utilize data, mentor staff, and be a successful team builder.
- Establish professional relationships at all levels of key client organizations, including C-level executives, vice presidents, and department managers. Understand client's strategic objectives and assist clients in positioning Cotiviti's products into their long-term goals.
- Demonstrable knowledge of healthcare claims payment policy and processing, claims editing, and fraud detection, with demonstrated technical proficiency for an in-depth review of data and identifying issues and opportunities to enhance efficiencies and savings.
- General understanding of database structures, database management, and data manipulation and analysis, with prior experience in supporting or working with software programs and client systems (i.e. coding and billing systems, adjudication systems, etc.).
- Strong customer engagement skills required with the ability to establish and maintain multi-level customer relationships key to fully understanding client goals.
- Willingness/availability to travel 40% as required.
- Strong interpersonal skills required. Able to anticipate, identify, and resolve simple to complex problems. Proactive individual with strong troubleshooting skills. Strong written and oral communication skills required. Demonstrated ability to multitask in a fast-paced environment.
- Excellent personal computer skills in Microsoft Word, Excel, PowerPoint, and Outlook.
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- No adverse environmental conditions are expected.
Base compensation ranges from $140,000 to $175,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 12/4/2024
Applications are assessed on a rolling basis. We anticipate that the application window will close on 03/4/2024 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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